Covenant Health · 4 hours ago
MGR PATIENT ACCOUNTING
Knoxville, TN
Full-time
Onsite
Mid, Senior Level
3+ years expCovenant Health is the region’s top-performing healthcare network with 10 hospitals and outpatient services. The Manager of Patient Accounting provides leadership to the billing department, ensuring accurate and efficient billing processes while supervising staff and maintaining compliance with regulations.
Health CareHealth InsuranceHome Health Care
Responsibilities
Provides daily leadership to all personnel within the department to ensure that all duties are performed accurately and efficiently
The Billing Manager monitors all functions of the Billing office and maintains equipment/software, i.e. table files, to ensure promptness and efficiency of all Billing duties
Supervises the Billers, Billing Support Staff and Billing Supervisors on a daily basis
Recruits, selects, develops and motivates a competent staff to ensure the continuance of productivity and positive morale
This position assists the department Director and the Vice President in establishing and meeting strategic goals and outcomes for the Consolidated Business Office (CBO)
The CBO provides Patient Accounting functions for multiple facilities and entities which requires a working knowledge of several service lines and payer requirements
Maintains accountability for the Billing Unit ensuring that the areas establish targets and goals, and ensure that expectations are consistently met and that accounts are handled in a timely manner
Establishes team-based goals and success measurements for the billing unit
Identifies both team contributions that meet established goals and areas of opportunity
Provides the motivation and incentive necessary for acceptable productivity from the Billing department
Monitors performances at least monthly, and identifies variances to established targets
Demonstrates knowledge of State and Federal regulations, CMS guidelines, TennCare guidelines and other Third Party Payor requirements assuring departmental billing
Ability to identify and review problem bills to determine reason(s) for and resolution of problems soliciting input when required from outside resources, and delegates to billers for billing
Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources
Does not promote or participate in solicitation during working hours within the department
Accepts total responsibility for the work performance of the billing area
Supports, models and adheres to the desired behaviors of the KBOS Constitution for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, and respectfully, and tell the truth
Supervises the submission of daily claims to ensure the timely and accurate billing of inpatient, outpatient, and ER accounts while maintaining follow-up procedures to secure necessary supporting documentation for suspended/pended claims
Ensures that cross training is incorporated into the billing area so that staff is knowledgeable of multiple payor requirements and billing guidelines
Maintains equipment/software, i.e. table files, for the Billing department
Provides leadership to the billing area, including but not limited to hiring, training, disciplinary actions, evaluations, establishment of work priorities, and other daily operational duties
Proficiently maintains and processes employee time cards and attendance records
Professionally deals with patients, physicians, public, and other management personnel concerning Billing matters
Trains new personnel in areas of responsibilities and provides in-service education for existing personnel on new policy and procedures as developed
Prepares performance evaluations on a timely basis and reviews same with the Director for concurrence
Involves and monitors staff participation in departmental Balanced Score Card goals on an ongoing basis
Monitors the creation, maintenance, and distribution of all required documents and statistical reports related to Billing productivity
Establishes and maintains Billing procedures staying current on industry trends to ensure ability to transition the Billing department for necessary and future billing regulations
Establishes and adheres to policies and procedures in an effort to assist employees in job performance and to provide for internal controls within the Billing area
Distributes HCFA memos to Billing staff and provides training for new or revised rules ensuring compliance with HCFA, Tenncare/Medicaid or other State or Federal regulations
Searches for innovative ways to identify opportunities for improving the billing process
Maintains Biller statistics regarding the number of claims and dollar amount of accounts billed, rebilled and suspended for the purpose of productivity monitoring allowing for the identification of training needs, competency levels, etc
Performs other duties as assigned to the satisfaction of the Director of Patient Accounting
Communicates effectively with patients/public, co-workers, physicians and/or their offices, and other hospital personnel using verbal, nonverbal, and written communication skills
Consults and works collaboratively with supervisors, co-workers, department Director, and other hospital personnel, effectively performing tasks of position
Independently monitors work performed, periodically talking with customers and spot checking accounts and other reports to insure accuracy/timeliness of billing and patient satisfaction
Trains and monitors all staff in regards to customer relations to insure total responsiveness and sensitivity to customer needs
Assists the Reimbursement Unit to resolve payment and contractual issues
Assists Vice President, Director and Managers on activities and projects, as needed
Assists with the development of staff communication, Balanced Score Card goals and other objectives that take into consideration the mission and values of Covenant Health
Maintains lines of communications with other department managers in an ongoing effort to improve the overall quality of customer service
Promotes good public relations for the department and the hospital adhering to desired behaviors
Participates freely in intradepartmental quality improvement activities whenever called upon to do so
Develops and implements annual plan for improving customer satisfaction regarding the Billing process
Holds monthly meetings with staff and coordinates discussion regarding work performance and department/hospital updates
Provides education that will prepare staff for the most efficient use of their computer systems; support creativity and innovation to foster individuals’ empowerment; remain flexible and proactive toward changes within the healthcare industry and customer needs
Determines training and development needs of billing staff to enhance professional growth, satisfaction and performance
Responsible for individual and team training related to the computer system, upgrades, regulatory changes, insurance requirements, etc
Demonstrates the ability to effectively manage the resources of the organization by managing salary and supply costs within, or below, the operating budget
Uses innovative approaches for optimal staffing and expense reductions
Demonstrates promptness in reporting for and completing work ensuring follow-through on assigned tasks
Demonstrates initiative in increasing skills, and attends training programs as available
Provides assistance to new employees
Attends In-Service as scheduled
Recommends to the Director, new policies and updates to existing policies that are intended to increase efficiency and promote data integrity
Follows protocols as established by the department
Qualification
Required
Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines and other Third Party Payor rules and regulations
Knowledge of third party payors and hospital billing software required
Must possess a knowledge of claims submission process for all major carriers and intermediaries
Knowledge of third party reimbursement with working knowledge of Network/Managed Care issues
A general understanding of bankruptcy law, credit and collection act
Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the billing process
Expected to perform adequately within the position after working at least three (3) to six (6) months on the job
Preferred
College graduate with degree in finance, accounting, or business/management preferred
High school with experience equivalent to degree may be considered
Three (3) to five (5) years experience in health care preferred
Experience in problem solving, analytical reviews, budgeting, and forecasting preferred
Company
Covenant Health
Covenant Health is a top-performing healthcare network company located in Knoxville.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Jim VanderSteeg
President and CEO
Recent News
Morningstar.com
2025-12-19
Morningstar.com
2025-10-02
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